Republic of the Philippines)
Malolos City, Bulacan ) S.S
AFFIDAVIT OF LOSS
I, JONJON CAPILI CALALO, of legal age, married, Filipino, and
a resident of 61 Rosal St. Miguelito Homes, Valenzuela City, after having
been duly sworn to in accordance with law do hereby depose and state,
that:
1. I am a holder of a company Identification Card issued by the
Direct Lines Sales Unltd. Inc.;
2. On November 6, 2019, at 12:30 P.M., while riding my motorcycle
on my way back to our office in Malinta, Valenzuela City, I
noticed that the subject Identification Card was missing;
3. I suddenly stopped and alighted from my motorcycle to check and
look for my Identification Card but could no longer find the same;
4. The said Identification Card might have been unnoticeably
dropped somewhere in Obando, Bulacan while I was riding my
motorcycle and nowhere to be found;
5. I have exerted diligent efforts to locate the said company
Identification Card but all my efforts proved to be all in vain; and
6. I am executing this affidavit to attest to the truth of the foregoing
statements and for all legal intent and purposes it may serve;
IN WITNESS WHEREOF, I have hereunto set my hand this 6 th
day of November 2019 at Malolos City, Philippines.
JONJON CAPILI CALALO
Affiant
SUBSCRIBED AND SWORN to before me this 6th day of
November 2019 2019.
Doc. No. 20;
Page No. 5;
Book No. XIV;
Series of 2019.